Tip: Eg. Mum's number

Tip: Eg. Dad's number

Tip: Leave this blank. Office use only.

Tip: Are there court ordered custody agreements in place for this child?

Tip: If pre-school aged or below please select creche

Tip: Leave blank if none

Tip: Is your child presently taking medication? If yes please state the name of the medication, dosage , etc.

Tip: Leave blank if none

Tip: By submitting this form, I signify that I consent my child in participating in the "Follow Kids" program. I will punctually drop off and pickup my child. I will encourage my child to attend, participate regularly and cooperate respectfully with leaders and other children.